MRS. Azita Ebrahimzadeh

NPI #1447630488 in Springfield, New Jersey

Provider Information

NPI Number: 1447630488
Entity Type: Individual
Name: MRS. Azita Ebrahimzadeh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jun 4, 2015
Last Updated: Jun 4, 2015

Practice Location

Address: 291 MOUNTAIN AVE
City: Springfield
State: New Jersey
ZIP Code: 07081-2214
Phone: (973) 901-2322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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